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North Dakota rates for HCPCS 14021

Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $851.14 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,698.24 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,000.00 / $2,137.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,548.82 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,019.95 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,230.27 / $1,819.70